BOMBAY HIGH COURT, BOMBAY
ONLINE APPLICATION FOR THE POST OF CLERK
Date of publication of :- 08/12/2025
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Registration-ID :- CLK105021
Name of Establishment :- Principal Seat, Bombay
for which applied
Name of the Applicant :- SHRI. KHILESH SUSHIL CHOURE
Address for correspondence :- [Link] Patil House,
Chandrashekhar Ward, Gondia
District of Postal Address :- GONDIA - 441601
Aadhar Card No. :- 820682535362
Contact Nos. :- Telephone :- 91 Mobile :- 8390463878
Email ID :- khileshchoure@[Link]
Nationality :- Indian
Gender :- Male
Religion, Category and Caste:- Hindu, Other Backward Class (Kalar)
Date of Birth :- 07/05/1999
Age as on 08/12/2025 :- 26 Years 7 Months 1 Days
Place of Birth :- BALAGHAT
Marital Status :- Single
Whether Candidate is :- No
Differently-abled Person?
Educational Qualification :-
Educational Board/University Year of Out of Total Marks Percentage Class
Qualification Passing Marks Obtained %
S.S.C. NAGPUR 2015 500 397 79.40 Ist
H.S.C. NAGPUR 2017 650 365 56.15 IInd
(Science-SCIENC
E)
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Educational Board/University Year of Out of Total Marks Percentage Class
Qualification Passing Marks Obtained %
Graduate NASHIK 2020 1200 784 65.33 Ist
(B.A.-ART)
Is the Candidate Domicile :- Yes
of Maharashtra
Language Known :-
Read Write Speak
Marathi Yes Yes Yes
Hindi Yes Yes Yes
English Yes Yes Yes
Does candidate work in any :- No
Government Department?
State particulars of Typing :-
Qualification (English)* Name of the Course Certificate Marks Out of Grade Date of
Issued by Obtained Marks Passing
English 40 w.p.m. G.C.C. 65 100 B 18/04/2023
State particulras of :-
Computer Course Name of Certificate Duration Marks Out of Grade Date of
the Course Issued by (months) Obtained Marks Passing
CCC NIIT 3 64 100 C 26/08/2015
Other Technical :- Yes
Qualification, if any Name of Course Certificate Duration
Issued by (In months)
ITI NCVT 24
Whether candidate has :- No
enrolled his/her name at
Employment Exchange?
(a)Is there any criminal :- No
proceeding pending against
the candidate?
(b)Is he/she convicted by a :- No
Criminal Court?
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(c)Is he/she facing :- No
disciplinary/departmental
enquiry?
Whether permanently :- No
debarred or disqualified by
any Court/MPSC/UPSC or
any State Service
Commission from
appearing in any
examination conducted by
them?
Name and address of two :- 1) SUNIL SHRICHAND DHUWARE
respectable persons, who EX SERVICEMAN
have issued Character 9571587895
Certificate/s to the Chandrashekhar Ward Shreenagar Gondia
candidates.
2) NIRMALA DILIP MISHRA
WARD MEMBER
9975211905
Near Murri Road, Shrinagar Gondia
Fee Details :- Payment Gateway:- SBI Collect
Payment Type :- ePayment
SBCollect Ref. No.
:- DUP0490558
Date :- 05/01/2026
Amount :- Rs. 1000
Signature of Applicant
FOR OFFICE USE
Affix your
passport size
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Signature of Applicant
Printed on 05/01/2026 08:10:00
Page 3/4
DECLARATION - I
1) I the applicant, SHRI. KHILESH SUSHIL CHOURE do hereby declare that no criminal prosecution pending
against me or I have not been convicted by a Criminal Court or held guilty or facing disciplinary enquiry.
2) I further affirm that all the details filled in the application are true and correct as per my knowledge. If any
information is found to be false/incorrect, I will be liable to be disqualified from the process of selection and if
selected/appointed, my services would be liable to be terminated without any notice.
KHILESH SUSHIL CHOURE
Place : GONDIA
Date : 05/01/2026
Name and Signature of Applicant
DECLARATION - II
Form-A
(See Rule 4 of Maharashtra Civil Services (Declaration of Small Family) Rules, 2005)
I, Shri./Smt./Kum. SHRI. KHILESH SUSHIL CHOURE son/daughter/wife of Shri SUSHIL CHOURE aged 26
years, resident of GONDIA do hereby declare are follows :
1) That I have filled my application for the post of Clerk.
2) I have -NA- (Number) living children as on today. Out of which -NA- No. of children born after 28/03/2005 is
(mentioned dates of birth, if any)
3) I am aware that, if any total number of living children are more than two due to the children born after 28/03/2005, I
am liable to be disqualified for the same post.
KHILESH SUSHIL CHOURE
Place : GONDIA
Date : 05/01/2026
Name and Signature of Applicant
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